Goodwin, Shannon Dannielle

Goodwin, Shannon Dannielle is an individual health care provider with primary practice located at 2627 E Central Ave , Wichita KS 67214-4608. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goodwin, Shannon Dannielle can be contacted via phone (316) 684-5300.

Contact Information

Primary practice address
2627 E Central Ave Wichita KS 67214-4608
Phone: (316) 684-5300
Fax: (316) 684-6336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 619 Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4137 Kansas

Profile Details

NPI number 1386782746
LBN Legal business name Goodwin, Shannon Dannielle
Credentials LMSW, AAPS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jun 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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